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About Prof. MD D. Palmes
The Adiposity Center Emsland was certified as a competence center for obesity and metabolic surgery by the German Society of General and Visceral Surgery (DGAV) and the Surgical Association for Obesity Therapy (CAADIP) due to its proven quality work in bariatric surgery.
In the first few months after the operation there is a heavy weight loss. Then the weight goes back slower, until after 1 to 2 years after the procedure, a new body balance has set. The phase of rapid weight loss is sometimes more exhausting and stressful than surgery. The finally achieved weight is usually slightly above the "ideal weight". It is possible that weight loss may temporarily stagnate without this necessarily causing a disturbance. Indispensable is the regular aftercare with nutritional and exercise therapy.
The aftercare is not only so important to prevent possible deficiencies, it is also about possible complications in time to recognize and treat. Especially in extremely overweight people, it is not uncommon that the body weight is not fully normalized, sometimes follow-up operations are necessary, e.g. the transformation of a tube stomach into a bypass or the constriction of distended gastric or intestinal sutures.
Even before a visible weight loss can be seen, the concomitant diseases of obesity, e.g. diabetes, sleep apnea, hypertension, and finally joint and back complaints; the risk of complications of overweight goes back. It improves life and mood, the frequent depression go back.
By losing weight, the skin in many patients "too far", it develop excess disturbing skin folds, not only on the stomach. Here can then help a plastic surgery. Pregnancies are usually mild after a bariatric surgery; Weight loss complications are rarer. Often an unwanted childlessness resolves after the weight loss "as if by itself". In pregnancy and lactation, of course, the replacement of vitamins and trace elements is particularly important.
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